A Clinical Study of Peri / 대한정형외과학회잡지

Peri-tarsal dislocation occurs rarely and it has a complex joint structure anatomically. So, the injuries of the tarsal joint include many bony and ligament injuries and many complications such as pain on weight bearing and limitation of joint motion. The authors have reviewed a series of 15 cases of Peri-tarsal dislocations and the results obtained are as follows;1. Among the 15 cases of peri-tarsal dislocations, subtalar dislocation were 2 cases, Chop-art dislocation was 1 case, Lisfranc dislocation were 11 cases, and pure ankle dislocation was 1 case. 2. There were 12 cases of associated tarsal bone fractures 6 cases were cuneiform fractures, 4 cases were navicular fractures, and 2 cases were cuboid fractures 3. The clinical and radiological result of treatment was good in 3 cases, fair in 6 cases, and poor in 6 csses. 4. The cause of poor results were open dislocation, associsted tarsal bone fractures, delay of treatment, unstable reduction, and associated long bone fractures. 5. The most common complications after treatment were pain on weight bearing and limitation of joint motion.

Primary Total Hip Replacement for Displaced Femoral Neck Fracture in Old Age Group / 대한정형외과학회잡지

The displaced intracapsular hip fracture continues to be difficult to manage. Despite significant advances in the technique of internal fixation, the incidence of non-union and avascular necrosis remain high. As a result, prosthetic replacement has been advocated as a solution to this proplem. But the criteria for the management of these fractures by internal fixation, hemi-arthroplasty, total hip replacement have not been clearly well defined, So, we reviewed the result of 28 internal fixation, 7 hemi-arthroplasty, 16 total hip replacement patients at Wonju Christian Hospital. The results obtained from obove patients in the review of esrly ambulation, early and late orthopedic complications, and hip function by Harris hip scoring were as follows ; 1. The average age of the patients were 64-year in the internal fixation, 72-yesr in the hemi-arthroplasty and 70-year in the initial total hip replacement. 2. The most common cause of injury was slip down and the most common type was the fracture of the base of femoral neck. 3. Among the internal fixstion group, the only 11 cases coulddo crutch walking within 2 weeks. But 5 cases(71%) in the hemi-arthroplasty and 11 case(74%) of the of the total hip replacement could do crutch walking within 2 weeks. 4. There was no specific differences in the early post operative complications between three groups. Avascular necrosis of the femoral head and non-union still exist in the internal fixation group and acetabular erosion and protrusion of metallic head occurs frequently in hemi-arthroplasty group. The late complication became increasingly higher in the internal fixation and hemi-arthroplasty group than the total hip replacement group. 5. The measured hip function at the final follow-up showed good end results(57% in the internal fixation, 71% in the hemi-arthroplasty and 81% in the total hip replacement).

Triscahpae Arthrodesis in Kienbock's Disease / 대한정형외과학회잡지

There are many controversies concerning therapeutic guidelines for the treatment of Kienbock's disease. We experienced 7 cases of stage III Kienbock's disease, which were treated with triscaphe arthrodesis form March 1983 to Marth 1987. 1. There were 2 males and 5 femsles and 6 cases were occured before the age of 40. 2. Dominant hand was affected in 5 cases. 3. Dorsiflexion injury was related with this disease in 2 cases. 4. The mean duration from symptom on-set to operation was 2 years and 3 months. 5. All patients were followed for at least 6 months and the average was 1 year 9 months. 6. Pain was relieved in all cases, but range of motion wss not improved after operation.

Ganglion at the Elbow Joint Causing Neurological Symptom: Reports of Two Cases / 대한정형외과학회잡지

Ganglions are defined as cystic swellings closely connected to joints or tendon sheath, and contain mucinous material. Their most frequent site is the wrist and hand and occasionally they are found at ankle and knee. Some authors had reported rare cases of ganglion occured near the elbow joint which showed neurologic symptom by compressing the ulna nerve. We experienced two cases of ganglion which had occured at the elbow joint. Neurological symptoms were developed by compressing the ulna and radial nerve each sround the elbow joint.